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The Impacts of Assertiveness on Attitudes toward Nurse-Physician Collaboration in Nursing Students

간호대학생의 자기주장이 간호사와 의사의 협업에 대한 태도에 미치는 영향

  • 이상민 (서라벌대학교 간호학과) ;
  • 류영호 (서라벌대학교 간호학과) ;
  • 김주현 (서라벌대학교 간호학과)
  • Received : 2018.07.10
  • Accepted : 2018.09.20
  • Published : 2018.11.30

Abstract

Purpose: This study was conducted to identify the factors affecting nursing students' attitudes toward nurse-physician collaboration. Methods: The subjects were 200 nursing students from a college in K city, and the participants were recruited by posting a recruitment announcement. Data were collected from June 26 to 29, 2018 and analyzed using SPSS 22.0 and descriptive statistics, t-test, ANOVA, Sheff? test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: Attitudes toward nurse-physician collaboration showed a statistically significant difference according to grade, the reflection of opinion within the family, and the number of the counselor in general characteristics. Assertiveness and attitudes toward nurse-physician collaboration showed weak positive correlation (r=.18, p=.011). In hierarchical multiple regression analysis, the most affecting factor was junior grade (${\beta}=.25$), followed by positive assertiveness (${\beta}=.18$) and the number of the counselor (${\beta}=.14$). These variables explained 12.0% of the total variance in attitudes towards nurse-physician collaboration. Conclusion: To create positive attitudes toward collaboration between nurses and physicians in nursing students, various educational programs related to assertiveness on communication skills need to be provided from the lower grades. Also, a multidisciplinary simulation program should be developed and applied to be able to experience the situation of nurses and physicians.

Keywords

References

  1. Amicone, K. F., & Miller, R. (2015). Assertiveness in nursing students (Unpublished master's thesis). The University of Akron, Ohio, United States.
  2. Baggs, J. G., & Ryan, S. A. (1990). Intensive care unit nurse-physician collaboration and nursing satisfaction. Nursing Economics, 8(6), 386-392.
  3. Bang, K. S., & Park, H. J. (2008). Correlation of assertiveness and depression in clinical nurses. Journal of Korean Clinical Nursing Research, 14(2), 93-102.
  4. Boschma, G., Einboden, R., Groening, M., Jackson, C., MacPhee, M., Marshall, H., et al. (2010). Strengthening communication education in an undergraduate nursing curriculum. International Journal of Nursing Education Scholarship, 7(1), 1-14. http://dx.doi.org/10.2202/1548-923X.2043
  5. Cockerham, W. C. (2014). Medical sociology. Retrieved from Yale Institution for Social and Policy Studies website: http://dx.doi.org/10.1002/9781118410868.wbehibs548
  6. Cho, H. K., Lee, T. Y., & Kim, C. W. (2015). Hospital nurse turnover rate and structural characteristics of hospital. Journal of the Korea Academia-Industrial Cooperation Society, 16(1), 453-461. http://dx.doi.org/10.5762/KAIS.2015.16.1.453
  7. Gilbert, J. H. V., Yan, J., & Hoffman, S. J. (2010). A WHO report: Framework for action on interprofessional education and collaborative practice. Journal of Allied Health, 39(3), 196-197. Retrieved from http://www.researchgate.net/publication/233588528
  8. Hansen, M. T. (2009). Collaboration. New York: Harvard Business Press.
  9. Ha, Y. S., Kim, S. H., Moon, C. S., Suk, S. H., Yoon, J. R., & Lee, M. J. (1983). The assertiveness training program for aggressive or passive undergraduates. Research of Student Guidance, 16(1), 1-50.
  10. Hojat, M., Fields, S. K., Rattner, S. L., Griffiths, M., Cohen, M. J. M., & Plumb, J. D. (1997). Attitudes toward physician-nurse alliance: Comparisons of medical and nursing students. Academic Medicine, 72(10), S1-S3.
  11. Hojat, M., Fields, S. k., Veloski, J. J., Griffiths, M., Cohen, M. J. M., & Plumb, J. D. (1999). Psychometric properties of an attitude scale measuring physician nurse collaboration. Evaluation & Health Professions, 22(2), 208-220. http://dx.doi.org/10.1177/01632789922034275
  12. Jang, I. S., & Kim, J. N. (2002). Effects of assertiveness training on assertiveness behavior problem solving ability, and interpersonal relationships of nursing college students. Journal of Korean Academy of Community Health Nursing, 13(2), 239-248.
  13. Kim, M. S. (2016). Development and effects of assertiveness training applying Dongsasub training for nursing students in clinical practice. Journal of Korean Academy of Nursing, 46(4), 490-500. http://dx.doi.org/10.4040/jkan.2016.46.4.490
  14. Kim, H. J., Lee, D. H., Kim, C. W., & Kim, S. H. (2013). The difference of perception about nurse-physician collaboration between medical and nursing students: Nurse-physician collaboration. Korean Academy on Communication in Healthcare, 8(2), 143-149. http://dx.doi.org/10.15715/kjhcom.2013.8.2.143
  15. Korean Accreditation Board of Nursing Education. (2017, January 26). Evaluation criteria of nursing education certification (bachelor degree/associate degree in nursing). Retrieved from http://kabone.or.kr/kabon02/index04.php
  16. Larijani, T. T., Aghajani, M., Zamani, N., & Ghadirian, F. (2017). Assertiveness and the factors affecting it among nursing students of Tehran university of medical sciences. International Journal of New Technology and Research, 3(5), 34-38.
  17. Lee, E. K., & Kim, O. H. (2009). Collaboration between nurse-doctor and interpersonal communication competence of nurse. Korean Academy on Communication in Healthcare, 4(1), 49-57.
  18. Lee, E. K., & Ji, E. J. (2016). Factors influencing nursing professionalism in nursing students: Clinical learning environment and attitude toward nurse-physician collaboration. Journal of Korean Academy of Fundamentals of Nursing, 23(2), 126-135. http://dx.doi.org/10.7739/jkafn.2016.23.2.126
  19. Lee, K. E., Ha, N. S., & Kil, S. Y. (2000). The relationship between self-disclosure and clinical competency in nursing students. Journal of Korean Academy of Nursing, 30(3), 571-583. https://doi.org/10.4040/jkan.2000.30.3.571
  20. Lee, S. M. (2015). Relationship between assertiveness and attitudes toward nurse-physician collaboration in general hospital nurses (Unpublished master's thesis). Kosin University, Busan.
  21. Lee, S. M., & Sohn, S. K. (2015). Relationship between assertiveness and attitudes toward nurse-physician collaboration in general hospital nurses. Journal of East-West Nursing Research, 21(2), 156-164. http://dx.doi.org/10.14370/jewnr.2015.21.2.156
  22. Nasrabadi, A. N., Lipson, J. G., & Emami, A. (2004). Professional nursing in Iranian overview of its historical and sociocultural framework. Journal of Professional Nursing, 20(6), 396-402. http://dx.doi.org/10.1016/j.profnurs.2004.08.004
  23. Oh, K., Ahn, Y. H., Lee, H. Y., Lee, S. J., Kim, I. J., Choi, K. S., et al. (2011). A study on Korean nursing students' educational outcomes. Journal of Educational Evaluation for Health Professions, 8(3), 1-8. http://dx.doi.org/10.3352/jeehp. 2011.8.3
  24. Park, S. Y., & Kim, M. S. (1995). The reality of assertion training for nurses. Seoul: Jung Dam.
  25. Rathus, S. A. (1973). A 30-item schedule for assessing assertive behavior. Behavior Therapy, 4(3), 398-406. https://doi.org/10.1016/S0005-7894(73)80120-0
  26. Rosenstein, A. H., & O'Daniel, M. (2005). Disruptive behavior & clinical outcomes: Perceptions of nurses & physicians. American Journal of Nursing, 105(1), 54-64. https://doi.org/10.1097/00000446-200501000-00025
  27. Vazirani, S., Hays, R. D., Shapiro, M. F., & Cowan, M. (2005). Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. American Journal of Critical Care, 14(1), 71-77.
  28. Ward, J., Schaal, M., Sullivan, J., Bowen, M. E., Erdmann, J. B., & Hojat, M. (2008). The Jefferson scale of attitudes toward physician-nurse collaboration: A study with undergraduate nursing students. Journal of Interprofessional Care, 22(4), 375-386. https://doi.org/10.1080/13561820802190533
  29. World Health Organization. (2010). Framework for action on interprofessional education & collaborative practice. Retrieved from http://www.who.int/hrh/resources/framework_action/en/
  30. Zakerimoghadam, M., Ghiyasvandian, S., & Leili, A. K. (2015). Nurse-physician collaboration: The attitudes of baccalaureate nursing students at Tehran university of medical sciences. Iranian Red Crescent Medical Journal, 17(4), 1-8. http://dx.doi.org/10.5812/ircmj.17(4)2015.23247

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